I just realized none of the posts show on an iPad or a computer, but they do show on an iPhone. WordPress is working on this. In the meantime, please visit my Substack.


Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.
contact @ acountrydoctorwrites.com
© A Country Doctor Writes, LLC 2008-2022
Unauthorized use and/or duplication of this material without express and written permission is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given.
A new physiological observation; we breath through one dominant nostril at a time, and, as far as I know, it is not known how we switch back and forth. Nasal edema at night can be moved from side to side by turning in bed if not adequately controlled by medication. A trick for Aftrin nasal spray use; treat only one nostril at a time. This can be used to relieve Afrin (or any decongestant nasal spray) rebound blockage that you described; NO spray in one nostril until it has recovered; then breath though the healed nostril and allow the other to recover. By treating one nostril alternately to start with the patient may avoid overuse and still be comfortable.
Sure miss phenolpropanolamine. It is a great decongestant. It does raise blood pressure, but the effect is minimal if dose is properly controlled. Removing it from the market is like many overreactions; e.g. prohibition because some people drive drunk.